Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08583 | Date 20/01/2025 |
| Token No | SM/25-26/6473 18/08/2025 | Serial | 011 |
| Patient Name | Mr. SHIVAM PARUI | Contact No | 9681929926 |
| Address | PANDIT SATGHARA SERAMPORE 712203 | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||